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2018 ; 10
(ä): 33-41
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Spotlight on certolizumab pegol in the treatment of axial spondyloarthritis:
efficacy, safety and place in therapy
#MMPMID29765257
Marin J
; Acosta Felquer ML
; Soriano ER
Open Access Rheumatol
2018[]; 10
(ä): 33-41
PMID29765257
show ga
Certolizumab pegol (CZP) is a pegylated humanized tumor necrosis factor-?
inhibitor (TNFi) approved for the treatment of ankylosing spondylitis (AS) in the
USA and for AS and non-radiographic axial spondyloarthritis (nr-axSpA) in Europe
and in some Latin American countries. CZP lacks Fc region, preventing complement
fixation and cytotoxicity mediated by antibody; CZP does not actively cross the
placenta, unlike other TNFi. RAPID-axSpA study is a Phase III trial conducted in
patients with AS and nr-axSpA as double blind and placebo controlled to week 24,
dose blind to week 48 and open label to week 204. Of a total of 325 patients
recruited, 107 patients were assigned to placebo and 218 patients to CZP (111 to
CZP 200 mg Q2W, 107 to CZP 400 mg Q4W). Improvements in axial involvement, joint
involvement, enthesitis and quality of life were reported in patients treated
with CZP. Safety profile was like that reported for other TNFi in axSpA patients.
In this article, we summarized the pharmacology and we reviewed the efficacy and
tolerability of this drug for the treatment of axSpA. Some special considerations
of CZP during pregnancy are included. CZP, the latest TNFi to be approved, showed
efficacy in all manifestations of AS and nr-axSpA.